NPIMap

Organization Active NPI

Utah Youth Village

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Kearns, UT
National Provider Identifier
1134435464
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
UTAH YOUTH VILLAGE
Practice address
5934 S 4800 W
Kearns, UT 84118-6061
Phone
(801) 967-6325
Fax
(801) 967-9890
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Bjorkland
Title
President
Phone
(801) 631-6921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

5934 S 4800 W
Kearns, UT 84118-6061

Mailing address

5800 Highland Dr
Salt Lake City, UT 84121-1359
Phone (801) 272-9980

Other names 1

  • South Kearns Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Alpine Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Utah Youth Village

    dba Alpine Academy

    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Salt Lake City, UT
    • NPI 1831229731
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1134435464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211359",
            "telephone_number": "801-272-9980",
            "fax_number": "801-272-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S 4800 W",
            "city": "KEARNS",
            "state": "UT",
            "postal_code": "841186061",
            "telephone_number": "801-967-6325",
            "fax_number": "801-967-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH YOUTH VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BJORKLAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-631-6921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Kearns Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearns, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.